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10 ADE Pyramid MedWatch VA ADERS (Observed) Documented in CPRS (Historical & Observed) Recognized (Documented & Undocumented) Recognized & Unrecognized Goal: move more ADEs to next level What can be improved and how can it be measured? Who is involved? What processes are involved?

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11 ARTS DRAFT IMPORT As of October 2009 all allergies/adverse reactions entered into CPRS are imported from the previous month if not previously entered into VA ADERS